Individual
MS. CAROLYN C. RIDDLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
1400 BLACKHORSE HILL RD, COATESVILLE, PA 19320-2040
(610) 384-7711
Mailing address
47 TOLL GATE STA, LANCASTER, PA 17601-5687
(717) 569-6370
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
MA003202L
PA
Other
Enumeration date
08/31/2006
Last updated
07/08/2007
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